FABRIEL D BURQUEZ NPI 1982893087

NPI Information

NPI: 1982893087
Provider Name: FABRIEL D BURQUEZ

Other Name: FABRIEL D BURQUEZ DDS INC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
180 OTAY LAKES RD STE 210B
BONITA, CA
ZIP 91902
Phone: (619) 479-4457
Get Directions

FABRIEL D BURQUEZ is a dental clinic center in Bonita, CA. FABRIEL D BURQUEZ NPI is 1982893087. The provider is registered as an organization entity type.
The provider Other Name Is Fabriel D Burquez Dds Inc.

The provider's business location address is:

180 OTAY LAKES RD STE 210B
BONITA, CA
ZIP 91902-400
Phone: (619) 479-4457
Fax: (619) 479-4827

The provider's authorized official is Fabriel Dario Burquez .
The authorized official title is Dentist and has the following contact phone number (619) 479-4457.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 10/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	49476	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G89774-01	OTHER	CALIFORNIA	DENTICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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